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Prevalence of obesity in south-east Spain and its relation with social and health factors

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Abstract

Recent studies have confirmed important regional differences in the prevalence of obesity, as well as a tendency for this prevalence to increase. Determination of the social factors involved in obesity may be very useful to design intervention and prevention strategies. This transverse study was undertaken in Pizarra (Malaga, Spain) from a random sample of the population between 18 and 65 years of age (n = 1226). All participants were interviewed and given a physical examination. Standardized anthropometrical measurements were made, and a baseline blood sample was taken after an oral glucose tolerance test. The overall prevalence of obesity (BMI > 30 kg/m2) was 28.8%. This figure increased continuously from 10% in the group aged 18–25 years to above 50% in the groups aged over 55 years. This prevalence is higher than that reported in most other studies in Spain. The obese persons ate differently, at least from a qualitative viewpoint, probably more saturated fats and fewer unsaturated fats, and had a different behaviour concerning alcohol and smoking. Marital status was related with the rate of obesity, and the close relation between the level of education and the risk of obesity was confirmed (OR = 3.8 for being obese and having no education compared to having university studies). The most important consequence of the study was that all these factors are potentially modifiable and preventable. An increased level of general education in the population may well contribute decisively to a reduction in the prevalence of obesity.

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References

  1. Gutiérrez-Fisac JL, Rodriguez Artalejo F, Guallar-Castillon P, Banegas Banegas JR, Rey Calero J. Determinants of geographical variations in body mass index (BMI) and obesity in Spain. Int J Obes 1999; 23: 342-347.

    Google Scholar 

  2. Gutiérrez-Fisac JL, Banegas Banegas JR, Rodriguez Artalejo F, Regidor E. Increasing prevalence of overweight and obesity among Spanish adults, 1987-1997. Int J Obes 2000; 24: 1677-1682.

    Google Scholar 

  3. Gutiérrez-Fisac JL, Regidor E, Rodriguez C. Prevalencia de la obesidad en España. Med Clin (Barc) 1994; 102: 10-13.

    Google Scholar 

  4. Quiles Izquierdo J, Vioque J. Prevalencia de obesidad en la Comunidad Valenciana. Med Clin (Barc) 1996; 106: 529-533.

    Google Scholar 

  5. Serra Majem L, Ribas Barba L, García Closas R. Generalidad de Cataluña. Evaluación del estado nutricional de la población catalana 1992-93. Barcelona: Departamento de Sanidad y Seguridad social, 1996.

    Google Scholar 

  6. Aranceta J, Perez Rodrigo C, Serra Majem LL, et al. Prevalencia de obesidad en España: estudio SEEDO'97. Med Clin (Barc) 1998; 111: 441-445.

    Google Scholar 

  7. Kannel WB, D'Agostino RB, Cobb JL. Effect of weight on cardiovascular disease. Am J Clin Nutr 1996; 63(Suppl 3): 419S-422S.

    Google Scholar 

  8. Jung RT. Obesity as a disease. Br Med Bull 1997; 53: 307-321.

    Google Scholar 

  9. Goday A. Epidemiología de la obesidad: Estado actual de la obesidad en España. Nutr Clin 1999; 3: 37-46.

    Google Scholar 

  10. Instituto de Estadística de Andalucía. Sistema de información municipal de Andalucía. Junta de Andalucía, Sevilla, 1996.

    Google Scholar 

  11. WHO MONICA Project: Population survey data component. In: MONICA Manual. WHO, Geneva, 1990; part III, section 1.

  12. Hamilton S, Hamilton RJ, Sewell PA. Extraction of lipids and derivative formation. In: Hamilton y Hamilton (eds), Lipid analysis. A practical approach. Oxford: Oxford University Press, 1992.

    Google Scholar 

  13. Sociedad Española para el Estudio de la Obesidad (SEEDO). Consenso SEEDO'2000 para la evaluación del sobrepeso y la obesidad y el establecimiento de criterios de intervención terapéutica. Med Clin (Barc) 2000; 115: 587-597.

    Google Scholar 

  14. The fifth report on the Joint National Committee on detection, evaluation, and treatment of high blood pressure. Arch Intern Med 1993; 153: 154-183.

    Google Scholar 

  15. Kleimbaun DG, Kupper LL, Keith EM. Applied regression analysis and other multivariable methods. Boston: PWS-Kent Publishing Company, 1988.

    Google Scholar 

  16. Miettinen OS. Estimability and estimation in case-referent studies. Am J Epidemiol 1976; 103: 226-235.

    Google Scholar 

  17. Antipatis VJ, Gill T. Obesity as a global problem. In: Björntorp P (ed), International Textbook of Obesity. New York: John Wiley and Sons, Inc., 2001: 6.

    Google Scholar 

  18. Soriguer F, Tinahones F. Principio de precaución y tratamiento con fármacos de las personas obesas. Med Clin (Barc) 1999; 112: 503-507.

    Google Scholar 

  19. Hill JO, Peters JC. Environmental contributions to the obesity epidemic. Science 1998; 280: 1371-1390.

    Google Scholar 

  20. Soriguer F, Esteva I, Rojo-Martínez G, et al. Prevalence of diabetes mellitus type LADA in South Spain. Diabetes Res Clin Pract 2002; 56: 213-220.

    Google Scholar 

  21. Vázquez Martínez C. Epidemiología de la Obesidad. Estado actual. Endocrinología y Nutrición 1999; 46: 302-315.

    Google Scholar 

  22. Dirección General de Asistencia Sanitaria. Estudio DRECA. Dieta y riesgo de enfermedades cardiovasculares en Andalucía. Junta de Andalucía: SAS. Ed. Consejería de Salud, 1999.

    Google Scholar 

  23. Aranceta J, Pérez Rodrigo C, Serra-Majen L, et al. Influence of sociodemographic factors in the prevalence of obesity in Spain. The SEEDO'97 Study. Eur J Clin Nutr 2001; 55: 430-435.

    Google Scholar 

  24. Soriguer F, Tinahones F, Monzón A, et al. Varying incorporation of fatty acids in muscle, adipose, pancreatic exocrine tissue and thymocites in adult rats fed with diet rich in differents fatty acids. Eur J Epidemiol 2000; 16: 585-594.

    Google Scholar 

  25. Lands WEM. Long term fat intake and biomarkers. Am J Clin Nutr 1995; 61s: 721s-725s.

    Google Scholar 

  26. Katan MB, Grundy SM, Willet WC. Beyond low fats diets. N Engl J Med 1977; 337: 563-566.

    Google Scholar 

  27. Pan DA, Hulbert AJ, Storlien LH. Dietary fats, membrane phospholipids and obesity. J Nutr 1994; 124: 1555-1565.

    Google Scholar 

  28. Medeiros LC, Liu YW, Park S, Chang PH, Smith AM. Insulin, but not estrogen, correlated with indexes of desaturase function in obese women. Horm Metab Res 1995; 27: 235-238.

    Google Scholar 

  29. Prentice AM, Jebb SA. Obesity in Britain: Gluttony or sloth. Br Med J 1995; 311: 437-439.

    Google Scholar 

  30. Garrow JS. Treatment of obesity. Lancet 1992; 340: 409-413.

    Google Scholar 

  31. Prentice AM, Davies HL, Black AE, et al. Unexpectedly low levels of energy expenditure in healthy women. Lancet 1985; 1(8443): 1419-1422.

    Google Scholar 

  32. Shephard RJ. Exercise in coronary heart disease. Sports Med 1986; 3: 26-49.

    Google Scholar 

  33. Ward KW, Klesges RC, Vander Weg MW. Cessation of smoking and body weight. In: Björntorp P (ed), International textbook of obesity. New York: John Wiley and Sons, Inc., 2001: 323-326.

    Google Scholar 

  34. Chyou PH, Burchfiel CM, Yano K, et al. Obesity, alcohol consumption, smoking and mortality. Ann Epidemiol 1997; 7: 311-317.

    Google Scholar 

  35. Sobal J, Rauschembach B, Frongilio E. Marital status, fatness and obesity. Soc Sci Med 1992; 35: 915-923.

    Google Scholar 

  36. Björntorp P. Visceral obesity: A 'civilisation syndrome'. Obes Res 1993; 1: 206-222.

    Google Scholar 

  37. Björntorp P. Centralization of body fat. In: Björntorp P (ed), International textbook of obesity. New York: John Wiley and Sons, Inc., 2001; 214-224.

    Google Scholar 

  38. Gutiérrez-Fisac JL, Regidor E, Rodríguez C. Trens in obesity differences by educational level in Spain. J Clin Epidemiol 1996; 49: 351-354.

    Google Scholar 

  39. Gutiérrez-Fisac JL, Regidor E, Banegas Banegas JR, Rodríguez Artalejo F. The size of obesity differences associated with educational level in Spain, 1987 and 1995/97. J Epidemiol Commun Health 2002; 56: 457-460.

    Google Scholar 

  40. Sobal J, Stunkard AJ. Socioeconomic status and obesity: A review of the literature. Psychol Bull 1989; 105: 260-275.

    Google Scholar 

  41. Golay A, Felber JP: Evolution from obesity to diabetes. Diabetes Metab 1994; 20: 3-14.

    Google Scholar 

  42. Wilson PW. Established risk factors and coronary artery disease: The Framinghan Study. Am J Hypertens 1994; 7: 7S-12S.

    Google Scholar 

  43. Despres JP. Dyslipidaemia and obesity. Bailliere's Clin Endocrinol Metab 1994; 8: 629-660.

    Google Scholar 

  44. Villar Alvarez F, Banegas Banegas JR, Rodriguez Artalejo F, Del Rey Calero J. Mortalidad cardiovascular en Espanã y sus comunidades autónomas. Med Clin (Barc) 1998; 110: 321-327.

    Google Scholar 

  45. Burke V, Giangiulio N, Gillam HF, Beilin LJ, Houghton S, Milligan RAK. Health promotion in couples adapting to a share of lifestyle. Heath Educ Res 1999; 14: 269-288.

    Google Scholar 

  46. Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 1997; 20: 1183-1197.

    Google Scholar 

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Authors and Affiliations

  1. Endocrinology and Nutrition Service, Hospital Universitario Carlos Haya, Málaga, Spain

    F. Soriguer, G. Rojo-Martínez, I. Esteva de Antonio, M.S. Ruiz de Adana, M. Catalá, M.J. Merelo, M. Beltrán & F.J. Tinahones

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  1. F. Soriguer
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  2. G. Rojo-Martínez
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  3. I. Esteva de Antonio
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  4. M.S. Ruiz de Adana
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  5. M. Catalá
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  6. M.J. Merelo
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  7. M. Beltrán
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  8. F.J. Tinahones
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Soriguer, F., Rojo-Martínez, G., de Antonio, I.E. et al. Prevalence of obesity in south-east Spain and its relation with social and health factors. Eur J Epidemiol 19, 33–40 (2004). https://doi.org/10.1023/B:EJEP.0000013254.93980.97

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  • DOI: https://doi.org/10.1023/B:EJEP.0000013254.93980.97

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